Appeals & Grievance Analyst (Hybrid - Troy, MI) -

General Summary · Responsible for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify ...

This position is responsible for receiving analyzing and assigning Appeals Grievances and Complaints to the A&G Analysts. Ensures daily case receipt via mail fax email Customer Message Center and HAP's documentation application Pega. Responsible for investigation assignment and t ...

· GENERAL SUMMARY: · Responsible for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must iden ...

GENERALSUMMARY: · Responsible for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify ...

GENERALSUMMARY: · Responsible for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify ...

This position is responsible for receiving, analyzing and assigning · Appeals, Grievances and Complaints to the A&G Analysts. Responsible for all activities related to maintaining and providing pertinent information for regulatory reporting ensuring integrity and accuracy.Associ ...

This position receives analyzes and assigns Appeals Grievances Complaints A G to A G Analysts Responsible for all activities related to maintaining providing pertinent information for regulatory reporting ensuring integrity accuracy Assisting staff with administrative duties stat ...

We believe everyone has an opportunity to lead. We see the importance of your perspective and your ability to create value. · ...

The Substance Abuse Professional guides clinical services delivery and implements OCHN's strategic vision and plan with Providers within the Service Network. · Provides clinical content expertise to SUD Network Providers for service initiatives development. · Writes policies and ...

· The Substance Abuse Professional (Clinical Analyst - SUD) guides clinical services delivery and implements OCHN's strategic vision and plan with the respective Providers within the Service Network, including initiatives and projects that advance service recipient involvement, ...

Job Title: · Director, Tristate Quality OperationsNumber of Positions: · 0Location: · Okemos, MILocation Specifics: · Hybrid PositionJob Summary: · At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, ...

Are you a strategic thinker with a passion for procurement and leadership? Join our Ginosko Modular team as a Purchasing Manager and take charge of sourcing the materials, tools, and supplies that power our production and operations. This is your opportunity to lead a high-impact ...

· At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people to help us do it. · As a national leader in value-based care, we offer senior living communities and skilled nursing facilities ...